Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $14,454.40	Facility		$1,096.48	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,412.54	Professional		$741.31	$870.96	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,258.93	Professional		$724.44	$933.25	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,698.24	Professional		$794.33	$1,047.13	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,760.83 / $6,760.83	Professional		$6,025.60	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $6,456.54	Facility		$794.33	$1,318.26	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,318.26	Professional		$776.25	$1,000.00	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,513.56 / $2,041.74	Professional		$6.03	$1,513.56	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,819.70	Facility		$758.58	$1,047.13	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,659.59	Professional		$794.33	$1,071.52	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,380.38	Professional		$660.69	$891.25	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $741.31	Professional		$691.83	$741.31	$741.31